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Israeli authorities are starving Palestinians of water

Gaza-Israel war

A young boy carries a water jerrycan through Khan Younis, where patched and worn-out tents offer little shelter to people who have been displaced. Gaza, Palestine, July 2025.
© MSF

Info on response and situation last updated: 14 April 2026.
Social media updates last updated: 9 March 2026.

Despite the ceasefire agreement, Israel continues to kill and deprive people in Gaza, prolonging its genocide.

Decades of repression and conflict, and an Israel-imposed blockade from 2007 on the Gaza Strip, Palestine, exploded on 7 October 2023 when Hamas attacked Israel on a large scale. In response, Israel launched massive attacks on Gaza.

Since 7 October 2023 and as of 6 April 2026, at least 72,312 Palestinians have been killed and 172,134 injured, according to Gaza’s Ministry of Health. The Israeli authorities are purposefully and systematically destroying the conditions necessary for life in Gaza, while also severely limiting the entry of food, water, medicines, and other essential supplies into the Strip. The ceasefire, which came into effect on 10 October 2025, has done little to ease people’s suffering. Families are still displaced and living among rubble; health centres and hospitals are under-resourced and overwhelmed; and bombs continue to fall.

Meanwhile, the Israeli authorities continue to tighten their grip on Palestinians in the West Bank, by imposing further movement restrictions and increasing their military operations.

At a time when Palestinians need more humanitarian assistance, Israel has withheld the registration of 37 international NGOs, including ours. As of 1 January 2026, the Israeli authorities have prevented all MSF supplies and international staff from entering Gaza, depriving our medical response of much-needed materials and technical skills. On 26 February, our international staff were forced to leave Palestine, ahead of Israel’s 1 March deadline for unregistered NGOs to leave the country. Our Palestinian staff remain; we will continue to provide medical care and bear witness to people’s suffering in Palestine for as long as possible, working under our registration with the Palestinian Authority.

Israel must stop pursuing genocide in Gaza, and allow the unimpeded entry of humanitarian assistance, and at scale.

Between 7 October 2023 and 31 January 2026, MSF teams in Gaza provided

MSF response in Gaza and the West Bank

MSF currently provides medical care in two hospitals, four basic healthcare centres, and three clinics, and runs two field hospitals and six medical points. We also work in other facilities in the enclave.

Our teams are offering surgical support, wound care, physiotherapy, maternity and paediatric care, general healthcare, vaccinations, malnutrition care, and mental health services. However, as the Israeli authorities block our supplies and international staff from entering Gaza, our teams are starting to run short of essential supplies, despite the massive medical needs. 

South Gaza

Nasser hospital, Khan Younis - Nasser hospital is the last remaining partially functioning Ministry of Health hospital in southern Gaza. Our teams there support the inpatient and surgical departments for patients with orthopaedic, trauma or burns injuries. We are also providing core medical activities, such as outpatient consultations, physiotherapy, occupational therapy, and mental health services, as well as innovative treatment for burns using 3D printed masks.

Al-Mawasi advanced healthcare centre, Rafah – We provide outpatient services, including general consultations, vaccinations, reproductive health care, wound dressing, mental health services, and health promotion, as well as minor surgeries. The centre also features a 24/7 emergency room for stabilising and referring trauma patients. We are also providing malnutrition screening, and outpatient treatment for malnutrition.

Khan Younis healthcare centre, Khan Younis - We provide outpatient consultations, mental health services, outpatient treatment for malnutrition, sexual and reproductive healthcare, wound care, and physiotherapy. We also provide a minimal emergency service focused on stabilisation and referral.

Al-Attar healthcare centre, Khan Younis – MSF teams offer a range of services at Al-Attar, including general medicine, emergency healthcare, wound care, antenatal and postnatal care, malnutrition treatment, mental health care, and health promotion. A 24-hour emergency service for stabilisation and referral remains available at the centre.

Hamad City clinic, Khan Younis – The MSF team at Hamad City clinic offer wound care, mental health services, physiotherapy, and health promotion activities.

Al-Qarara medical point, Khan Younis – at this medical point we opened in November 2025, we provide general consultations, wound care, and sexual and reproductive healthcare.

Middle Area

Al-Zawaida field hospital, Deir Al-Balah – MSF teams are working with the Ministry of Health to run this field hospital in Deir Al-Balah, which offers 110 beds through an emergency department, outpatient department, inpatient department, and three operating theatres for orthopaedic, vascular, general, and plastic surgery.

Deir Al-Balah MFH field hospital, Deir Al-Balah – We moved some of our services from Nasser hospital to this field hospital in Deir Al-Balah. We are providing burn and orthopaedic care, as well as surgery, physiotherapy, and mental health services.

Bureij healthcare centre – At this centre we are providing care for complex and infected wounds, as well as physiotherapy. 
 

North Gaza

Al-Helou Maternity hospital, Gaza City – MSF teams are supporting the emergency room, inpatient department, a delivery room, three operating theatres, and neonatal intensive care unit at Al-Helou. We also provide mental health services.

MSF clinic, Gaza City – At this clinic, we are providing general care for non-communicable diseases, reproductive care, wound care, physiotherapy, and malnutrition screening and therapeutic feeding, as well as mental health and health promotion services.

MSF clinic, Gaza City – At this clinic near Al-Shifa hospital, we are providing post-operative care on an outpatient basis, as well as physiotherapy.

Al-Karama medical centre – In Al-Karama medical centre, MSF teams are providing general consultations, wound care, malnutrition care, and mental health education. We also provide support to the pharmacy.

Al-Yarmouk medical centre – We are providing wound care, physiotherapy, mental health services, and pharmacy support at this centre.

Zeitoun advanced medical point – opened in December 2025, teams provide general medicine and paediatric consultations, wound care (dressings), sexual and reproductive health and mental health care.

Medical posts and primary clinics – our teams run medical posts or primary (general) care clinics in Al-Twaam, Al-Rahma, Al-Halabi, and at Tel A Rabe’e school. They provide general healthcare, wound care, and physiotherapy, among other services.   
 

Water and sanitation

We continuously work to increase the quantity of drinkable water in the Gaza Strip by providing technical support to desalination plants, water trucking, and establishing points for people to collect safe water. Through these activities, MSF distributed 54 million litres of drinking water in March 2026.

Medical evacuations

MSF has supported the medical evacuation of 126 people, as of 4 December 2025, to different countries where they can receive the specialised treatment they need for their injuries or medical conditions. It is estimated that some 18,500 people are in need of medical care that cannot be provided in Gaza. We continue to call for the Israeli authorities to facilitate medical evacuations for all patients who need treatment that is not available in Gaza.

In the West Bank, we are maintaining activities focused on emergency care, basic healthcare via mobile clinics, and mental healthcare in Hebron, Nablus, Tulkarem, and Jenin.

In Hebron, we run five mobile clinics providing general healthcare and sexual and reproductive health, as well as a mental health support centre.

In Nablus, MSF teams are providing mental health services, care for sexual and gender-based violence, and training members of the Palestinian Red Crescent on psychological, emergency, and first response.

In Tubas, our teams run a trauma stabilisation point.

In Jenin and Tulkarem, MSF provides water and sanitation support, including through water trucking.

  1. The genocide in Gaza must stop. The blockade must be lifted to allow the delivery of independent humanitarian aid at scale.
  2. MSF demands the immediate protection of medical workers and health facilities, including the immediate release of detained health workers, and the full respect of international law. We call for independent investigations into violations, including the killing of our own staff and the members of their families, and urge Israel’s allies to increase pressure to end the collective punishment of Palestinians and to ensure accountability for these crimes.
  3. MSF calls for unhindered independent, impartial humanitarian aid in Palestine. Israel has a legal and moral responsibility as the occupying power to facilitate humanitarian aid. Other governments must use their available leverage – economic, security, and legal – to pressure Israel to facilitate humanitarian aid, and ensure its protection.
  4. A clear and predictable medical evacuation system must be urgently established — with safe passage, no family separation, and safe and voluntary guaranteed return to Gaza after treatment. Furthermore, people who want to leave Gaza must be allowed to do so — provided their right to safe and voluntary return is guaranteed. Countries must open their doors to patients trapped in Gaza who urgently need specialised and lifesaving care. They must prioritise evacuations based on medical urgency and clinical need, including accepting adults and the elderly, who make up 75 per cent of the waiting list.  
  5. Governments must stop sending weapons to Israel that are used to kill and maim our patients and to sustain its genocidal campaign. States have a responsibility to prevent genocide and to ensure that the weapons they provide are not being used to harm civilians, violate human rights, or commit war crimes. Day after day, our medical teams treat patients with terrible injuries caused by Israel’s use of explosive weapons in densely populated areas, including victims of targeted and indiscriminate attacks. These arms transfers are fuelling the mass killings of civilians, demolition of vital civilian infrastructure, and the systematic destruction of the health system in Gaza. The hypocrisy is stark: states cannot claim to uphold humanitarian values and express empty words of concern for Palestinians while supporting a military campaign that is destroying the conditions of life in Gaza.
  6. Israel must end all coercive measures aimed towards annexation, including, but not limited to, prolonged large-scale military operations, barriers to providing and receiving medical and humanitarian aid, collective punishment including home demolitions, settler violence, and movement restrictions.
  7. Israel must begin following the binding orders from the International Court of Justice, to take immediate action to prevent genocide, including to enable the provision of urgently needed humanitarian aid into Gaza. All states have a duty to prevent and respond to genocide. States providing support for Israel’s military campaign are complicit and must use their influence to protect civilians.
     

Situation in Palestine

The situation in Gaza has been described by our teams as ‘apocalyptic’.

Despite the ceasefire agreement, violence and killing remain a daily reality, and Israel maintains its blockade, preventing sufficient aid from entering the Gaza Strip, depriving people of the essentials they need to live, and prolonging this genocide.

The systematic and intentional deprivation of aid, including food, water, electricity, and medical supplies, has led to deaths, malnutrition, and profound trauma that will scar the people of Gaza for generations.

The Israeli forces have dismantled the health system and have left people without, or with very difficult, access to medical care. Out of 36 hospitals in Gaza, 18 are completely non-functional and the other 18 are only partially functional. As it stands, the very few hospitals and medical facilities that remain operational cannot cope with the vast medical needs.

An urgent, massive scale up of humanitarian supply is urgently needed to respond to the ongoing humanitarian catastrophe. However, at a time when so much more is needed, Israeli authorities have blocked our supplies and international staff from entering Palestine. Israel has a responsibility to facilitate humanitarian aid, not politicise or weaponise it.

The situation is worsening in the West Bank, with increased settler violence and Israeli incursions, particularly in Jenin, Tulkarem and Tubas. This is causing immense suffering and severe obstruction to the provision of healthcare. According to OCHA, between 7 October 2023 and 3 December 2025, 1,088 Palestinians were killed in the West Bank, including 224 children.  

Israel’s policies and practices toward annexation, as part of a broader plan of territorial and demographic engineering, amount to ethnic cleansing and create a grave risk of forcible transfer.  

People lack water, fuel and electricity.

Severe movement restrictions imposed by Israeli forces across the West Bank are making every journey complicated, whether to go to work, visit relatives, or seek medical care. Moving in the West Bank is characterised by road closures, prolonged delays at checkpoints, and the installation of new gates at village entrances.
 

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Gaza Israel war

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